Feasibility of using an artificial intelligence-based telephone application for dietary assessment and nudging to improve the quality of food choices of female adolescents in Vietnam: Evidence from a randomized pilot study

dc.creatorBraga, Bianca C.
dc.creatorNguyen, Phuong Hong
dc.creatorTran, Lan Mai
dc.creatorHoang, Nga Thu
dc.creatorBannerman, Boateng
dc.creatorDoyle, Frank
dc.creatorFolson, Gloria
dc.creatorGangupantulu, Rohit
dc.creatorKarachiwalla, Naureen
dc.creatorKolt, Bastien
dc.creatorMcCloskey, Peter
dc.creatorPalloni, Giordano
dc.creatorTran, Trang Huyen Thi
dc.creatorTrơưng, Duong Thuy Thi
dc.creatorHughes, David
dc.creatorGelli, Aulo
dc.date2024-06
dc.date2024-03-05T15:08:17Z
dc.date2024-03-05T15:08:17Z
dc.date.accessioned2026-06-27T14:58:21Z
dc.descriptionBackground Adolescent nutrition has faced a policy neglect, partly owing to the gaps in dietary intake data for this age group. The Food Recognition Assistance and Nudging Insights (FRANI) is a smartphone application validated for dietary assessment and to influence users toward healthy food choices. Objectives This study aimed to assess the feasibility (adherence, acceptability, and usability) of FRANI and its effects on food choices and diet quality in female adolescents in Vietnam. Methods Adolescents (N = 36) were randomly selected from a public school and allocated into 2 groups. The control group received smartphones with a version of FRANI limited to dietary assessment, whereas the intervention received smartphones with gamified FRANI. After the first 4 wk, both groups used gamified FRANI for further 2 wk. The primary outcome was the feasibility of using FRANI as measured by adherence (the proportion of completed food records), acceptability and usability (the proportion of participants who considered FRANI acceptable and usable according to answers of a Likert questionnaire). Secondary outcomes included the percentage of meals recorded, the Minimum Dietary Diversity for Women (MDDW) and the Eat-Lancet Diet Score (ELDS). Dietary diversity is important for dietary quality, and sustainable healthy diets are important to reduce carbon emissions. Poisson regression models were used to estimate the effect of gamified FRANI on the MDDW and ELDS. Results Adherence to the application was 82% and the percentage of meals recorded was 97%. Acceptability and usability were 97%. MDDW in the intervention group was 1.07 points (95% CI: 0.98, 1.18; P = 0.13) greater than that in the control (constant = 4.68); however, the difference was not statistically significant. Moreover, ELDS in the intervention was 1.09 (95% CI: 1.01, 1.18; P = 0.03) points greater than in the control (constant = 3.67). Conclusions FRANI was feasible and may be effective to influence users toward healthy food choices. Research is needed for FRANI in different contexts and at scale.
dc.identifierhttps://hdl.handle.net/10568/139806
dc.identifier.urihttp://hdl.handle.net/123456789/90846
dc.languageen
dc.publisherElsevier
dc.rightsOpen Access
dc.sourceBraga, Bianca C.; Nguyen, Phuong H.; Tran, Lan Mai; Hoang, Nga Thu; Bannerman, Boateng; Doyle, Frank; et al. 2024. Feasibility of using an artificial intelligence-based telephone application for dietary assessment and nudging to improve the quality of food choices of female adolescents in Vietnam: Evidence from a randomized pilot study. Current Developments in Nutrition 8(6). https://doi.org/10.1016/j.cdnut.2023.102063
dc.subjectadolescents
dc.subjectartificial intelligence
dc.subjectcapacity development
dc.subjectdiet quality
dc.subjectdiet
dc.subjectfeeding preferences
dc.titleFeasibility of using an artificial intelligence-based telephone application for dietary assessment and nudging to improve the quality of food choices of female adolescents in Vietnam: Evidence from a randomized pilot study
dc.typeJournal Article

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